25 Mar What can I do for my Plantar Fasciitis?
Plantar Fasciitis is a very frustrating injury for many people, and is all too common with about 2 million patients treated for it annually in the United States. If you’re suffering with this condition, you know it can produce a range of symptoms, and the pain often undulates in severity, from sometimes very sharp and severe (often in morning and after sitting), to nagging and more of a lower level ache. This injury to the myofascia can be very slow to heal, and many patients suffer for at least 6-12 months once it becomes chronic (if not treated correctly in a timely manner). The common treatments for this typically include; Ice, rest from activities, night splints, rolling the foot on a ball, orthotics, calf stretches and ultimately cortisone injections. The problem with these standard treatments is that they often don’t fix the pain, let alone the problem/cause.
What if I told you there’s a faster, more effective solution?
To treat Plantar Fasciitis expediently we must find the actual cause. We know there is some sort of overload or repetitive stress to the tissue, sometimes this is the actual biomechanics or sporting movements in the case of an athlete, but other times its more the more specific kinematics (how the bones, ligaments and tissue work) of their foot and ankle.
“Stretching my calves isn’t helping!”
Most professionals are quick to blame the calf, and this sometimes can be causing your plantar fascia problem, but often that’s not the root cause. We typically find that many plantar fasciitis cases stem from a lack of proper motion in the 1st Ray (inside of arch and big toe), causing someone to use the plantar fascia and 4 lesser toe flexors too much. Another common issue is structural and mechanical issues in the joints of the foot, oftentimes beginning with an ankle sprain (or rolled ankle).
Tissues respond and adapt to load and stimuli!
Once we have identified where the mechanical issues are limiting normative movement, and resolved those, much of the pain starts to improve as well. We then treat the inflamed and irritated tissue with Deep Tissue laser therapy, acupuncture and heat (for blood flow). Finally as the client is able we begin a loading program for the actual tendon of the foot muscles (plantar aponeurosis) to condition it and return the tissue to its normal strength and elasticity. We use isometric exercises on a slant board and get tremendous results usually in 2-4 weeks of consistent work.
If you’ve suffered from Plantar Fasciitis you should take some sense of optimism from this post, there are real strategies and solutions to get it better, and we hope to see you get back to your desired activities pain free.
– Jonathan Pierce